Secondary Mastopexy After Nipple-Sparing Mastectomy and Staged Subcutaneous Expander/Implant Reconstruction
Conclusions Secondary mastopexy after 2-stage subcutaneous expander/implant breast reconstruction is uncommon, but if needed, it may be safely performed to correct ptosis and improve breast shape, symmetry, and function. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Ketorolac and Hematoma Incidence in Postmastectomy Implant-Based Breast Reconstruction
Conclusions Review of our breast reconstruction database did not find a trend toward an elevated incidence of hematoma associated with intraoperative Toradol use in implant-based postmastectomy reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Comparative Outcomes in Functional Rhinoplasty With Open vs Endonasal Spreader Graft Placement
This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. Design A retrospective review of functional rhinoplasties by a single facial plastic surgeon over a 2-year period was conducted. Setting Facial plastic surgery practice at a tertiary academic medical center. Participants Fifty patients with a single surgeon over a 22-month period with a minimum of 1-year follow-up were included in the study. Age, sex, and p...
Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Book Review: Operative Management of Vascular Anomalies
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

A 1-Point Plan to Eliminate Breast Implant–Associated Anaplastic Large-Cell Lymphoma
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Modified Subcutaneous Buried Horizontal Mattress Suture Compared With Vertical Buried Mattress Suture: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Errata Source Type: research

Optimizing Radiotherapy for Keloids
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Letter and Commentary Source Type: research

Breast Reconstruction: A Century of Controversies and Progress
Breast cancer treatment has dramatically changed over the past century. Since Halsted’s first description of radical mastectomy in 1882, breast reconstruction has evolved slowly from being considered as a useless or even dangerous procedure by surgeons to the possibility nowadays of reconstructing almost any kind of defect. In this review on the development of breast reconstruction, we outline the historical milestone innovations that led to the current management of the mastectomy defect in an attempt to understand the economic, social and psychological factors, which contributed to slow down its acceptance for seve...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

The Use and Delivery of Stem Cells in Nerve Regeneration: Preclinical Evidence and Regulatory Considerations
Outcomes following peripheral nerve injury remain poor despite the regenerative capacity displayed by the peripheral nervous system. Current therapies are limited and do not provide satisfactory functional recovery in a multitude of cases. Biomaterials have decreased the need for nerve autograft across small nerve gaps in small-caliber nerves, but the lack of a cellular substrate presents a limiting factor to the effectiveness of this therapy. Schwann cells are the supportive cells in the peripheral nervous system and play an integral role in the physiological response and regeneration following nerve injury. Limitations t...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Vascularized Composite Allotransplantation of the Elbow Joint: A Cadaveric Study
Conclusions Vascularized composite allotransplantation of the elbow joint holds promise as a motion and function preserving option for young, high-demand patients with a sensate and functional hand, who would otherwise be limited by the restrictions of total elbow arthroplasty or fusion. In this study, we propose a flap design and technique for harvest and also offered vascular imaging–based evidence that this flap is adequately vascularized. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

A Surgical Approach to the Harvest of the Vascularized Submandibular and Submental Lymph Node Flap: The “Through-the-Gland” Dissection Technique
Conclusions The through-the-gland technique of harvesting vascularized submandibular lymph node flaps is a safe technique that allows the surgeon to clearly identify and preserve blood supply of lymph nodes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Extracorporal Shock Wave Therapy Enhances Receptor for Advanced Glycated End-Product–Dependent Flap Survival and Angiogenesis
Conclusions The RAGE controls inflammation and angiogenesis in flap healing. The protective effects of ESWT are dependent on intact RAGE signaling, which enables temporary targeted infiltration of immune cells and neoangiogenesis. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Monitoring of Myocutaneous Flaps by Measuring Capillary Glucose and Lactate Levels: Experimental Study
Introduction In surgery, certain defects require reconstruction with a microsurgical flap. The free flap failure rate varies between 2% and 5%. Vascular thrombosis is the most frequent complication and represents 15% to 73% of failures. The success rate of salvage therapy is greater when salvage surgery is early. Currently, clinical monitoring is the criterion standard but many noninvasive or minimally invasive techniques have been developed to improve early diagnosis of complications of vascular thrombosis. The aim of our experimental study was to compare clinical assessments with measurements of capillary glycemia and ...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Factors Associated With Late Surgical Cancellations in Pediatric Plastic and Oral Surgery
Conclusions In our study, most late surgical cancellations were preventable or possibly preventable. The timing of the cancellation is important because those that occur near the scheduled procedure time disallow adequate and timely redistribution of operating room resources and personnel. Analyzing and addressing the preventable and possibly preventable causes outlined in this study will significantly improve efficiency and patient access. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Universal Applicability of the Furlow Palatoplasty: Resident as Primary Surgeon in a Consecutive, Nonselective Series
Conclusions This nonselective series of consecutive Furlow palatoplasty procedures demonstrates that plastic surgical residents are able to match best published clinical results performing the entire procedure under the close supervision and guidance of an assisting surgical mentor. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

A New Option for the Reconstruction of Primary or Recurrent Ischial Pressure Sores: Hamstring-Adductor Magnus Muscle Advancement Flap and Direct Closure
Conclusions The new surgical option presented herein, which involves hamstring-adductor magnus advancement flap and direct closure, is a simple and reliable method for providing sufficient muscle bulk to fill the dead space and proper padding to the bone stump while preserving the main vascular perforators and pedicles as well as future surgical options. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Perineal Turnover Perforator Flap: A New and Simple Technique for Perineal Reconstruction After Extralevator Abdominoperineal Excision
Conclusions The PTO flap is a quick, simple yet safe and reliable option for perineal reconstruction after ELAPE that offers many advantages over the heretofore used reconstructive techniques including primary closure, myocutaneous flaps, and biological meshes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Outcomes of Ventral Hernia Repair With Concomitant Panniculectomy
Conclusions The risk factors associated with developing complications are higher BMI, longer operating time, larger mesh size, larger hernia size, component separation, use of biologic mesh, chronic obstructive pulmonary disease, and intestinal violation. The use of negative-pressure wound therapy decreased complication rates, and patients with a previous hernia repair seemed to benefit the most from having a combined VHR/PAN. However, when compared with previous reports of VHR alone, VHR/PAN does seem to increase wound complications and reoperation rates. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Assessment of the Effect of Autograft Orientation on Peripheral Nerve Regeneration Using Diffusion Tensor Imaging
Conclusions Diffusion tensor imaging may be a useful assessment tool for peripheral nerve regeneration. Reversing nerve autograft polarity did not demonstrate to have an influence on functional or regenerative outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Use of Vascularized Sural Nerve Grafts for Sciatic Nerve Reconstruction After Malignant Bone and Soft Tissue Tumor Resection in the Lower Legs
Conclusions We were able to selectively reconstruct the sensory nerves to achieve sensation in the soles of the feet by using sural nerve grafts from both legs. As the prognosis for the underlying condition in cases necessitating this procedure is often poor, the costs and benefits of reconstruction should always be weighed carefully for each individual patient. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

One-Barrel Microsurgical Fibula Flap for Reconstruction of Large Defects of the Femur
In this study, we reviewed the clinical outcomes of using a 1-barrel free vascularized fibular graft (FVFG) protected by a lateral locking plate for large femoral defects not involving the knee joint. Between August 2007 and August 2013, we treated 7 patients with large femoral bone defects after tumor resection. The mean age of the patients was 19 years (range, 12–36 years), and 3 were women. All defects were free of infection before the procedure. Femoral bone defects were reconstructed using a 1-barrel FVFG protected by a lateral locking plate. The mean bone defect size was 10.5 cm (range, 6–16 cm). We revi...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Versatility of the Medial Femoral Condyle Flap for Extremity Reconstruction and Identification of Risk Factors for Nonunion, Delayed Time to Union, and Complications
Conclusions Extremity reconstruction using the MFC corticocancellous flap results in a high rate of union yet minimal donor morbidity for a challenging patient cohort. Previous surgery was a risk factor for increased time to union. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Three-Dimensional Analysis of Airway Change After LeFort III Midface Advancement With Distraction
Conclusions This investigation revealed that the LeFort III midface advancement using distraction could increase postpharyngeal airway space by approximately 33% when the midface is advanced by approximately 18 mm. This method could be used as a future reference for LeFort III midface advancement with distraction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol
Conclusions Patient compliance was optimal, and no allergic reactions, pressure sores, or skin necrosis were reported. The splint is self-retaining and light weight. Because of its transparent color, it can be easily camouflaged. A stepwise clinical protocol for the fabrication of a low-cost patient-specific ear splint is presented. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Step Cut Lengthening: A Technique for Treatment of Flexor Pollicis Longus Tendon Rupture
We describe step cut lengthening of FPL tendon for the reconstruction of FPL rupture. This is a single-stage reconstruction without the need for tendon grafting or tendon transfer. To our knowledge, no such technique has been previously described. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Antegrade Intramedullary Pinning in Subacute Fifth Metacarpal Neck Fracture After Failed Conservative Treatment: A Prospective Comparative Study With Acute Fracture
Purpose The purposes of this study were to evaluate the efficacy of antegrade intramedullary pinning performed for neck fractures with angulations of over 30 degrees after failed conservative treatment during the subacute phase and to compare the radiologic and clinical results with those of acute fractures with angulations of over 30 degrees treated via the same procedure. Methods Seventy-three patients with a fifth metacarpal neck fracture were admitted to our institute between January 2010 and April 2015. Among them, 26 patients with an acute fracture (group 1) and 27 patients with a subacute fracture after failed ...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Skin Burn Associated With Photochemotherapy
Conclusions There are just few cases of extensive burns induced by PUVA PT. Prevention becomes manifest in patient information, correct calculation of dosage, evaluation of photosensitivity, and close observation. In cases of severe burn injuries, patients should be referred to a burn center for optimal conservative treatment. Surgical intervention is usually not necessary. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Low Versus High Vacuum Suction Drainage of the Submuscular Pocket in Primary Breast Reconstruction: A Retrospective Study
Conclusions There is no significant difference in DDP and total drainage volume using low or high vacuum suction drainage in breast reconstruction. The only factors affecting drainage permanence were intraoperative filling of expander, smoking, and intraoperative bleeding. Therefore, we can reduce the DDP, avoiding overfilling of expander and using of high vacuum suction in nonsmoking patients and in patients with significant intraoperative bleeding. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

An Evaluation of the Choice for Contralateral Prophylactic Mastectomy and Patient Concerns About Recurrence in a Reconstructed Cohort
This study assessed (1) factors critical to patients when deciding on contralateral prophylactic mastectomy and (2) patients' quality of life related to concerns about recurrence after unilateral or bilateral breast reconstruction. Methods Patients with stage 0 to III breast cancer who underwent unilateral mastectomy or contralateral prophylactic mastectomy and breast reconstruction at a single institution between 2000 and 2012 were identified. Demographic and clinical data were extracted by chart review. Women's fears about breast cancer recurrence were assessed using the Concerns About Recurrence Scale, and motivation...
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Flap-Mastopexy in Autologous Breast Reconstruction: Timing and Technique
Conclusions The autologous mastopexy technique is a useful option in secondary refinement procedures for breast reconstruction. It provides a reliable and predictable method to adjust the inframammary fold, increase projection, and address excess ptosis. It has a low complication rate and can be safely and reliably performed as early as 3 months after initial reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Labia Majora Augmentation Combined With Minimal Labia Minora Resection: A Safe and Global Approach to the External Female Genitalia
Conclusions Labia majora augmentation combined with a conservative labia minora reduction is an appealing procedure because it enhances the global aspect of the female genitalia while reducing the labioplasty complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Labiaplasty: A 24-Month Experience in 58 PatientsOutcomes and Statistical Analysis
Conclusions Labiaplasty is safe and shows high rates of overall satisfaction. Women with children reported greater postoperative satisfaction than women who had never given birth. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Basic Microvascular Anastomosis Simulation Hub Microsurgery Course: An Innovative Competency-Based Approach to Microsurgical Training for Early Year's Plastic Surgery Trainees
Early year's plastic surgery trainees are faced with a large choice of microsurgery courses to select from. In the context of dwindling study budgets and busy on-call rotas, the pressure to select a high yield course that delivers value for money is of paramount importance. The Basic Microvascular Anastomosis Simulation Hub Microsurgery Course is a GBP £600 (US $790) 5-day 40-hour course based at Barts and The London School of Medicine and Dentistry increasing in popularity among junior trainees to fit this brief. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Surgeon Sleep Deprivation, Surgical Complications, and the Ethical Imperatives of Evidence-Based Persuasion
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Comment: Thoracoacromial Vessels Exposure in Microvascular Breast Reconstruction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Fingertip Replantation Without and With Palmar Venous Anastomosis: Analysis of the Survival Rates and Vein Distribution
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Adipose-Derived Tissue in the Treatment of Dermal Fibrosis: Antifibrotic Effects of Adipose-Derived Stem Cells
Treatment of hypertrophic scars and other fibrotic skin conditions with autologous fat injections shows promising clinical results; however, the underlying mechanisms of its antifibrotic action have not been comprehensively studied. Adipose-derived stem cells, or stromal cell–derived factors, inherent components of the transplanted fat tissue, seem to be responsible for its therapeutic effects on difficult scars. The mechanisms by which this therapeutic effect takes place are diverse and are mostly mediated by paracrine signaling, which switches on various antifibrotic molecular pathways, modulates the activity of th...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Three-Dimensional Ultrasound Versus Computerized Tomography in Fat Graft Volumetric Analysis
In this study, we compared the performance of micro-CT with microultrasound in the evaluation of adipose tissue graft volume in a murine model. Fifteen immunodeficient mice were given 200 μL of adipose tissue grafts. In vivo volumetric analysis of the grafts by micro-CT and microultrasound was conducted at discrete time points up to postoperative day 105. Three mice were killed at multiple time points, and explanted grafts were reimaged by CT and ultrasound, as mentioned previously. Analysis revealed that in vivo graft volumes measured by micro-CT do not differ significantly from those of microultrasound. Furthermore, b...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Determination of Pneumatic Tourniquet Pressure of Lower Limb by Ultrasonic Doppler
Conclusions The method of ultrasonic Doppler setting lower extremity tourniquet pressure during the operation could not only ensure the hemostatic effect, but it could also provide the optimum individual pneumatic tourniquet pressure value for patients. In the meanwhile, it could reduce the incidence of adverse reaction using tourniquets effectively as well as improve the safety of the tourniquet. This method played an important role in the recovery of patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Botulinum Toxin Therapy: Is Syringe Type Related to Cost-Effectiveness?
Discussion The American Society of Plastic Surgeons reported that the use of neuromodulators has increased by approximately 797% from 2000 to 2016. During that period, the price of neuromodulators has also increased by approximately 85%. Considering these statistics, the type of syringe used for BT neuromodular injection is a thought-provoking concept but surrounded by a paucity of data. Overall, our data suggest that the use of ultrafine insulin syringes for injection of BT reduces product waste and is cost-effective for the patient and the provider. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

A Cross-Sectional Study of Variations in Reimbursement for Breast Reconstruction: Is A Healthcare Disparity On the Horizon?
Conclusions We found that wide variations in reimbursement for breast reconstruction procedures exist and may preclude some surgeons from offering certain reconstructive options to a subset of patients. Understanding these discrepancies is a key first step in minimizing a potential care delivery disparity for this patient population. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Mixed Versus Pure Variants of Desmoplastic Melanoma: The Cleveland Clinic Experience
Conclusions Pure and mixed DMs seem to have similar clinical characteristics and outcomes. This indicates that analysis of national datasets without this subclassification remains viable. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

The Distally Based Peroneus Brevis Flap: The 5-Step Technique
The peroneus brevis flap was first described as proximally based by Mathes et al (Surg Clin North Am. 1974;54:1337–1354) and later by Jackson and Scheker (Injury. 1982;13:324–330). A distally based version of this flap by Mathes and Nahai (Reconstructive Surgery: Principles, Anatomy and Technique. 1997:1437e46) was subsequently described in 1997. The first case series of distally based flaps was published by Eren et al (Plast Reconstr Surg. 2001;107:1443–1448). In our experience, the distally based flap is a useful muscle flap to reconstruct small defects in the lateral distal third of the leg. Initial in...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Complications After Vulvar and Perineal Reconstruction With a Lotus Petal Flap
Conclusions This is the largest study to date on the complications of the lotus petal flap reconstruction. Complication rates did not differ between vulvar, perineal, and vulvoperineal reconstruction. Young patients seem to have a higher risk of developing complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Components Separation for Abdominal Wall Reconstruction in the Recalcitrant, High-Comorbidity Patient: A Review of 311 Single-Surgeon Cases
Purpose Components separation of the abdominal musculature remains a mainstay for closure of complicated midline and paramedian abdominal wall defects. The authors critically analyzed their experience with this technique to identify prognosticators affecting long-term clinical outcomes. Methods A retrospective review was performed of patients undergoing components separation by a single senior surgeon (J.M.R.) between 2000 and 2010. Numerous perioperative patient characteristics were collected and analyzed to determine their effects on long-term clinical outcomes. Multivariable logistic regression was used to predict ...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Surgical Management of Nerve Gaps: Present and Future
Peripheral nerve injuries can result in significant morbidity, including motor and/or sensory loss, which can affect significantly the life of the patient. Nowadays, the gold standard for the treatment of nerve section is end-to-end neurorrhaphy. Unfortunately, in some cases, there is segmental loss of the nerve trunk. Nerve mobilization allows primary repair of the sectioned nerve by end-to-end neurorrhaphy if the gap is less than 1 cm. When the nerve gap exceeds 1 cm, autologous nerve grafting is the gold standard of treatment. To overcome the limited availability and the donor site morbidity, other techniques have been ...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Reconstruction of Defects in the Weight-Bearing Plantar Area Using the Innervated Free Medial Plantar (Instep) Flap
Conclusions The innervated medial plantar flap is an excellent solution for treatment of medium-to-large defects in the weight-bearing heel or forefoot. It provides glabrous skin that is stable, durable, and sensate. The long-term results are good, with no patient afflicted by recurrent ulceration during the follow-up time. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Retrospective Analysis of the Effect of Hering's Law on Outcomes of Surgical Correction of Ptosis
Conclusions Application of Hering's law may improve outcomes of corrective surgery in patients with asymmetric ptosis. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Interposition Tendon Graft and Tension in the Repair of Closed Rupture of the Flexor Digitorum Profundus in Zone III or IV
We report the results of interposition tendon grafts using the ipsilateral palmaris longus tendon in 12 patients with closed flexor digitorum profundus tendon ruptures in zone III or IV of 14 digits between June 2006 and October 2015. Before surgery, 2 patients were diagnosed with closed tendon ruptures that occurred after nonunion of hamate hook fractures. The other 10 patients were diagnosed with spontaneous tendon ruptures of unknown cause. In 2 of the 10 patients with spontaneous tendon rupture, the cause of the rupture was not found. In the other 8 patients, there was rough surface with deficient overlying soft tissue...
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Retrospective Review of Free Anterolateral Thigh Flaps for Limb Salvage in Severely Injured High-Voltage Electrical Burn Patients
Conclusions Free anterolateral thigh flaps with a single-perforator pedicle were an effective and reliable therapeutic intervention for the management of severe high-voltage electrical injuries on the extremities. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research